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VIRGINIA CAROLINA RUBIO NP
NPI 1861086308
Nurse Practitioner in Dallas, TX

Active since February 25, 2021PECOS EnrolledAccepts Medicare Assignment
93.5/100
CMS Quality Rating
12222 MERIT DR STE 600, DALLAS, TX 75251(972) 715-5000(972) 715-9976 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Virginia Carolina Rubio Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIRGINIA CAROLINA RUBIO NP (NPI 1861086308) is an individual nurse practitioner in Dallas, Texas, licensed in Texas (1045868) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1861086308
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameVIRGINIA CAROLINA RUBIOCredential: NP
Location Address12222 MERIT DR STE 600Dallas, TX 75251-3294
Mailing AddressPo Box 840853Dallas, TX 75284-0853 · (972) 233-1999 · Fax (972) 233-3666
Phone(972) 715-5000
Fax(972) 715-9976
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 25, 2021
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1861086308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1045868
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 901183 (TX)
12222 MERIT DR STE 600, Dallas, TX 75251
Open in Google Maps ↗

Secondary Practice Location 1

Location 16606 Lbj Fwy Ste 200Dallas, TX 75240-6524 · Phone (972) 715-5000 · Fax (972) 715-9976

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Virginia Carolina Rubio Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638571730
PECOS Enrollment IDI20210713000244
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
174 services120 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75251 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHARITY CABRERA MAGCALAS CRNA
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
DR. ELVIS TSANG MD
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
BINU RAJAN ABRAHAM MD
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
LAUREN CARTER SEGERSON CRNA
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
ABIGAIL PINTO WOOD CRNA
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
HANNAH NEIPP MURDOCK CRNA
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
THOMAS ADAMS MD
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
DR. JOHN GERARD BAERENSTECHER M.D.
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Virginia Rubio's NPI number?

The NPI number for Virginia Rubio is 1861086308. It was assigned to this individual provider in the NPPES registry on February 25, 2021.

Where is Virginia Rubio located?

Virginia Rubio practices at 12222 Merit Dr Ste 600, Dallas, TX 75251. The listed phone number is (972) 715-5000.

What is Virginia Rubio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Virginia Rubio enrolled in Medicare?

Yes. Virginia Rubio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Virginia Rubio accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Virginia Rubio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Virginia Rubio affiliated with any hospitals?

According to CMS data, Virginia Rubio is affiliated with Ascension Seton Medical Center Austin and Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Virginia Rubio was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.